Backus, Dominique
Backus, Dominique is an sole proprietor health care provider with primary practice located at 3507 Old Montgomery Hwy , Birmingham AL 35209-5751. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Backus, Dominique can be contacted via phone (205) 879-0557.Contact Information
Primary practice address
3507 Old Montgomery Hwy
Birmingham AL 35209-5751
Phone: (205) 879-0557
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5065 | Alabama |
Profile Details
| NPI number | 1689817546 |
|---|---|
| LBN Legal business name | Backus, Dominique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2009 |
| Last updated | Apr 8th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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